Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.87 / $2,598.00 / $7,365.00	Facility		$275.87	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $147.60 / $158.85 / $206.90	Facility	54	$147.60	$158.85	$206.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $234.83 / $433.71	Professional		$196.80	$234.83	$433.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.99 / $266.00 / $396.86	Professional		$214.99	$266.00	$396.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $315.99 / $514.52	Professional		$239.13	$315.99	$514.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $346.98 / $932.00	Facility		$211.80	$346.98	$932.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $764.03 / $764.03 / $764.03	Facility	54	$764.03	$764.03	$764.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $373.71 / $1,896.64	Professional		$245.30	$373.71	$1,896.64
United Facility/Professional Facility Modifier Low / Median / High Price $180.52 / $550.00 / $1,300.00	Facility		$180.52	$550.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.29 / $319.85 / $525.02	Professional		$230.29	$319.85	$525.02